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子宫颈、子宫体和卵巢恶性肿瘤的流行病学——当前数据及流行病学趋势

Epidemiology of Malignant Cervical, Corpus Uteri and Ovarian Tumours - Current Data and Epidemiological Trends.

作者信息

Waldmann A, Eisemann N, Katalinic A

机构信息

Institut für Sozialmedizin und Epidemiologie, Lübeck.

Institut für Krebsepidemiologie e. V., Lübeck.

出版信息

Geburtshilfe Frauenheilkd. 2013 Feb;73(2):123-129. doi: 10.1055/s-0032-1328266.

Abstract

Cervical, uterine and ovarian cancers are the most common malignancies of the female genital tract. Using current data from population-based cancer registries in Germany, we present the recent figures for the incidence, prevalence, associated mortality and survival for these cancers. In 2009, a total of 23 800 women were newly diagnosed with one of the three gynaecological cancers (cervical cancer: 20.3 %, endometrial cancer: 48.5 %, ovarian cancer: 31.2 %). This figure equals approximately one third of the number of women newly diagnosed with breast cancer in the same year. The relative 5-year survival for carcinomas of the corpus uteri is 79 % and is higher that those for cervical cancer (68 %) and ovarian cancer (40 %). Ovarian cancer in particular is often diagnosed at a later stage and has a high risk of recurrence. Due to the favourable prognosis for endometrial tumours and the unfavourable prognosis for ovarian malignancies, the incidence of various gynaecological tumours is ranked differently compared to the 5-year prevalence of these same tumours. Currently, the 5-year prevalence in Germany for patients with cervical, endometrial or ovarian cancer is estimated to be around 80 000 women. Slightly more than half of these women were diagnosed with cancer of the corpus uteri. Around 25 % of women have ovarian and 21 % have cervical cancer.

摘要

宫颈癌、子宫癌和卵巢癌是女性生殖道最常见的恶性肿瘤。利用德国基于人群的癌症登记处的现有数据,我们展示了这些癌症的发病率、患病率、相关死亡率和生存率的最新数据。2009年,共有23800名女性被新诊断出患有三种妇科癌症中的一种(宫颈癌:20.3%,子宫内膜癌:48.5%,卵巢癌:31.2%)。这个数字约等于同年新诊断出患有乳腺癌的女性人数的三分之一。子宫体癌的相对5年生存率为79%,高于宫颈癌(68%)和卵巢癌(40%)。特别是卵巢癌往往在较晚阶段被诊断出来,且复发风险高。由于子宫内膜肿瘤的预后良好而卵巢恶性肿瘤的预后不良,各种妇科肿瘤的发病率与这些相同肿瘤的5年患病率排名不同。目前,德国宫颈癌、子宫内膜癌或卵巢癌患者的5年患病率估计约为80000名女性。这些女性中略多于一半被诊断出患有子宫体癌。约25%的女性患有卵巢癌,21%患有宫颈癌。

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